Book contents
- Frontmatter
- Contents
- List of contributors
- 1 Introduction
- Part I Developmental cognitive theory and clinical practice
- Part II Engagement and assessment
- Part III Client groups
- Part IV Applications in psychosocial adversity
- Part V Applications in specific child and adolescent psychiatric disorders
- 12 Behavioural approaches to eating and sleeping problems in young children
- 13 Conduct disorders in young children
- 14 Attention deficit hyperactivity disorder
- 15 Children with developmental disabilities and their parents
- 16 Depressive disorders
- 17 Cognitive behavioural psychotherapy for obsessive compulsive disorders
- 18 Anxiety disorders
- 19 School refusal
- 20 Post-traumatic stress disorders
- 21 Disorders of eating control
- 22 Chronic fatigue syndrome
- 23 Children's interpersonal problems
- 24 Pain in childhood
- 25 Conduct disorders in adolescence
- 26 Drug and alcohol abuse
- Part VI CBT applications in preventive interventions
- Index
- References
12 - Behavioural approaches to eating and sleeping problems in young children
Published online by Cambridge University Press: 21 August 2009
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Book contents
- Frontmatter
- Contents
- List of contributors
- 1 Introduction
- Part I Developmental cognitive theory and clinical practice
- Part II Engagement and assessment
- Part III Client groups
- Part IV Applications in psychosocial adversity
- Part V Applications in specific child and adolescent psychiatric disorders
- 12 Behavioural approaches to eating and sleeping problems in young children
- 13 Conduct disorders in young children
- 14 Attention deficit hyperactivity disorder
- 15 Children with developmental disabilities and their parents
- 16 Depressive disorders
- 17 Cognitive behavioural psychotherapy for obsessive compulsive disorders
- 18 Anxiety disorders
- 19 School refusal
- 20 Post-traumatic stress disorders
- 21 Disorders of eating control
- 22 Chronic fatigue syndrome
- 23 Children's interpersonal problems
- 24 Pain in childhood
- 25 Conduct disorders in adolescence
- 26 Drug and alcohol abuse
- Part VI CBT applications in preventive interventions
- Index
- References
Summary
When working with young children who have eating or sleeping problems, there are a range of therapeutic approaches that are utilized to tailor the treatment to the particular needs of the child and parents. Cognitive behavioural therapy (CBT) is one part of the armoury and, when the child is preschool age, this therapy is often directed at the parents rather than at the child. The fact that CBT has been lifted from the adult arena of treatment techniques and applied to the complex set of relationships of children in families means that our use of CBT has to widen to include not just ‘individual’ work with children but also with their parents and carers (Barrett, 2000). The behavioural and emotional problems of young children, in particular, make us rethink who is in treatment and how those treatment goals are best implemented. Helping parents change their behaviour towards their child can have a positive impact on the child's problems. This process will often involve the parents changing their cognitions and feelings about their child and his behaviour.
CBT programmes directed at parents are valid forms of treatment for children (Bugental and Johnston, 2000; Rapee, 2001), but they do raise the question: ‘what is the goal of treatment?’ There is an assumption of a mediating role of change for parental cognitions that produces change in their behaviour, which in turn affects their child's behaviour. There may be uncertainty whether, in these circumstances, change in the child's cognitions occurs before behaviour changes.
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- Cognitive Behaviour Therapy for Children and Families , pp. 187 - 206Publisher: Cambridge University PressPrint publication year: 2004
References
(2000). Treatment of childhood anxiety: developmental aspects. Clinical Psychology Review, 20, 479–94CrossRefGoogle ScholarPubMed
Batchelor, J. A. (1999). Failure to Thrive in Young Children. London: The Children's Society
, , and (1992). Sleep disorders in early childhood: association with insecure maternal attachment. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 86–93CrossRefGoogle ScholarPubMed
and (2000). Prenatal and child cognition in the context of the family. Annual Review of Psychology, 51, 315–44CrossRefGoogle Scholar
, , and (2002). Nighttime sleep-wake patterns and self soothing from birth to one year of age: a longitudinal intervention study. Journal of Child Psychology and Psychiatry, 43, 713–25CrossRefGoogle ScholarPubMed
, , , and (1998). Attachment and feeding problems: a reexamination of non-organic failure to thrive and attachment insecurity. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 1217–24CrossRefGoogle Scholar
, and (1986). Sleep problems in handicapped children: a preliminary study. Journal of Child Psychology and Psychiatry, 27, 399–407CrossRefGoogle ScholarPubMed
and (2001). Psychological management of anxiety disorders in childhood. Journal of Child Psychology and Psychiatry, 42, 999–1011CrossRefGoogle ScholarPubMed
Douglas, J. E. (2000a). Behavioural approaches to the assessment and management of feeding problem in young children. In A. Southall and A. Schwartz (eds.), Feeding Problems in Children. Oxford: Radcliffe Medical Press, pp. 41–59
Douglas, J. E. (2000b). The management of selective eating in young children. In A. Southall and A. Schwartz (eds.), Feeding Problems in Young Children. Oxford: Radcliffe Medical Press, pp. 141–53
(2002a). Psychological treatment of food refusal in young children. Child and Adolescent Mental Health, 7, 173–81CrossRefGoogle Scholar
Douglas, J. E. (2002b). Toddler Troubles: Coping with your under 5s. Chichester: Wiley and Sons
and (1996). Interview data on severe behavioural eating difficulties in young children. Archives of Diseases in Childhood, 75, 304–8CrossRefGoogle ScholarPubMed
and (2001). Description and evaluation of a day-centre based behavioural feeding programme for young children and their parents. Clinical Child Psychology and Psychiatry, 6, 241–56CrossRefGoogle Scholar
Douglas, J. and Richman, N. (1984). My Child Won't Sleep. Harmondsworth: Penguin
Drotar, D. (1995). Failure to thrive (growth deficiency). In M. C. Roberts (ed.), Handbook of Pediatric Psychology, 2nd edn. New York: Guilford Press, pp. 516–37
Frank, D. A. and Drotar, D. (1994). Failure to thrive. In M. R. Reece (ed.), Child Abuse: Medical diagnosis and Management. Philadelphia: Lea and Febiger, pp. 298–325
(1996). Resolving the feeding difficulties associated with non-organic failure to thrive. Child, Care, Health and Development, 22, 261–71CrossRefGoogle ScholarPubMed
Harris, G. (2000). Developmental, regulatory and cognitive aspects of feeding disorders. In A. Southall and A. Schwartz (eds.), Feeding Problems in Children: A Practical Guide. Oxford, Radcliffe Medical Press, pp. 77–89
, and (2000). Food refusal associated with illness. Child Psychology and Psychiatry Review, 5, 148–56CrossRefGoogle Scholar
, , , and (2002). Evaluation of two treatments for children with severe behaviour problems: child behaviour and maternal mental health outcomes. Behavioural and Cognitive Psychotherapy, 30, 279–95CrossRefGoogle Scholar
and (1993). Antecedent manipulation in the treatment of primary solid food refusal. Behaviour Modification, 17, 510–21CrossRefGoogle ScholarPubMed
and (1997). Annotation: treatment of childhood phobias. Journal of Child Psychology and Psychiatry, 38, 389–400CrossRefGoogle Scholar
Linscheid, T. R., Budd, K. S. and Rasnake, L. K. (1995). Pediatric feeding disorders. In M. C. Roberts (ed.), Handbook of Pediatric Psychology, 2nd edn., New York: Guilford Press, pp. 501–16
, , and (1989). Oral motor dysfunction and failure to thrive among inner city infants. Developmental Medicine and Child Neurology, 31, 293–302CrossRefGoogle ScholarPubMed
, and (1994). Sleep problems in toddlers: effects of treatment on their daytime behaviors. Journal of the Academy of Child and Adolescent Psychiatry, 33, 1114–21CrossRefGoogle Scholar
, , , , and (1993). The evaluation and treatment of sleep disturbances in young children. Journal of Child Psychology and Psychiatry, 34, 521–33CrossRefGoogle ScholarPubMed
, , and (1987). Parental health beliefs as a cause of non-organic failure to thrive. Pediatrics, 80, 175–81Google Scholar
(1997). Potential role of child rearing practices in the development of anxiety and depression. Clinical Psychology Review, 17, 47–67CrossRefGoogle ScholarPubMed
Rapee, R. M. (2001). The development of generalized anxiety. In M. W. Vasey and M. R. Dadds (eds.), The Developmental Psychopathology of Anxiety. New York, Oxford University PressCrossRef
and (1999). Prevention and early intervention strategies for anxiety disorders. Current Opinion in Psychiatry, 12, 169–74CrossRefGoogle Scholar
and (1996). Transition from tube feedings to feedings by mouth in children: preventing eating dysfunction. Journal of the American Dietetic Association, 96, 277–81CrossRefGoogle ScholarPubMed
(2002). Cognitive behaviour therapy with children and young people: a selective review of key issues. Behavioural and Cognitive Psychotherapy, 30, 297–309CrossRefGoogle Scholar
Wolf, L. S. and Glass, R. (1992). Feeding and Swallowing Disorders in Infancy: Assessment and Management. Tucson, AZ: Therapy Skill Builders
Wolfson, A. R. (1998). Working with parents on developing efficacious sleep/wake habits for infants and young children. In J. H. Briesmeister and C. E. Schaefer (eds.), Handbook of Parent Training: Parents as Co-therapists for Children's Behaviours, 2nd edn. New York: John Wiley and Sons, pp. 347–84
, and (1992). Effect of parent training on infant sleeping patterns, parents' stress and perceived parental control. Journal of Consulting and Clinical Psychology, 60, 41–8CrossRefGoogle Scholar
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